I-Tracheomalacia - itholakele

I-tracheomalacia etholakele ubuthakathaka nokuqina kwezindonga zensimbi yomoya (i-trachea, noma i-airway). Ikhula ngemuva kokuzalwa.

I-tracheomalacia yokuzalwa iyisihloko esihlobene.

I-tracheomalacia etholakele ingavamile kakhulu kunoma yisiphi isikhathi. Kwenzeka lapho uqwanga olujwayelekile odongeni lwe-windpipe luqala ukuwohloka.

Leli fomu le-tracheomalacia lingaholela:

• Lapho imithambo yegazi emikhulu ifaka ingcindezi emoyeni
• Njengenkinga ngemuva kokuhlinzwa ukulungisa ukukhubazeka kokuzalwa ku-windpipe kanye nomphimbo (ishubhu elithwala ukudla lisuke emlonyeni liye esiswini)
• Ngemuva kokuthola ishubhu lokuphefumula noma i-trachea tube (tracheostomy) isikhathi eside

Izimpawu ze-tracheomalacia zifaka:

• Izinkinga zokuphefumula eziba zimbi kakhulu ngokukhwehlela, ukukhala, noma izifo eziphezulu zokuphefumula, njengomkhuhlane
• Imisindo yokuphefumula engashintsha lapho isimo somzimba sishintsha, futhi ithuthuke ngesikhathi sokulala
• Ukuphefumula okuphezulu
• Ukumemeza, ukuphefumula okunomsindo

Ukuhlolwa komzimba kuqinisekisa izimpawu. I-x-ray yesifuba ingakhombisa ukuncipha kwetreachea lapho uphefumula. Noma i-x-ray ivamile, iyadingeka ukukhipha ezinye izinkinga.

Inqubo ebizwa nge-laryngoscopy isetshenziselwa ukuxilonga lesi simo. Le nqubo ivumela i-otolaryngologist (udlebe, ikhala, nodokotela womphimbo, noma i-ENT) ukuthi ibone ukwakheka kwendlela yokuhamba umoya futhi inqume ukuthi inkinga inzima kangakanani.

Ezinye izivivinyo zingafaka:

• I-airway fluoroscopy
• Ukugwinya kwe-Barium
• I-Bronchoscopy
• Iskena se-CT
• Ukuhlolwa kwemisebenzi yamaphaphu
• Ukucabanga kwe-Magnetic resonance (MRI)

Isimo singathuthuka ngaphandle kokwelashwa. Kodwa-ke, abantu abane-tracheomalacia kumele babhekwe ngeso elibukhali lapho benezifo zokuphefumula.

Abantu abadala abanezinkinga zokuphefumula bangadinga ingcindezi eqhubekayo yomoya (CPAP). Akuvamile, ukuhlinzwa kuyadingeka. Kungabekwa ithubhu elingenalutho elibizwa ngokuthi i-stent ukuze kubanjwe umgwaqo ovulekile.

Ukuphefumula i-pneumonia (ukutheleleka kwamaphaphu) kungenzeka ngokuphefumula ekudleni.

Abantu abadala abahlakulela i-tracheomalacia ngemuva kokuba semshinini wokuphefumula bavame ukuba nezinkinga ezinkulu zamaphaphu.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma wena noma ingane yakho niphefumula ngendlela engajwayelekile. I-Tracheomalacia ingaba isimo esiphuthumayo noma esiphuthumayo.

I-tracheomalacia yesibili

• Ukubuka konke kwesistimu yokuphefumula

Isitholi i-JD. I-Bronchomalacia ne-tracheomalacia. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 416.

IBP encane. Izifo zomgogodla. Ku: Walker CM, Chung JH, ama-eds. Ukufanekisa kukaMuller kwesifuba. Okwesibili. IPhiladelphia, PA: Elsevier; 2019: isahluko 56.

UNelson M, uGreen G, u-Ohye RG. Izinkinga zokuhlukunyezwa kwezingane. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 206.